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PubMed1980

Options in treating trauma to the liver.

Many wounds of the liver are minor and require no corrective operations. If these patients are not killed by associated injuries, they usually survive. Hemorrhage from hepatic wounds is the most common cause of death. Selective ligation of appropriate blood vessels swiftly controls bleeding and does not cause septic hepatic necrosis because the liver in humans is sterile and collateral blood flow prevents complete infarction of hepatic tissue. Hepatic resection is dangerous in acutely hypovolemic patients, but hepatic resection is beneficial in treating the late complications of hepatic trauma. Liver-related sepsis after trauma to the liver can be obviated by elimination of gauze packs, absorbable hemostats, peritoneal drains, sutures and choledochal tubes.

Anti-Bacterial Agents↗
PubMedDate not supplied

Spontaneous rupture of the liver during pregnancy.

Spontaneous rupture of the liver, a rare but grave complication of pregnancy merits attention of an obstetrician. It is important to stress that proper antenatal care, prompt hospitalization with effective treatment at first alarming sign of preeclampsia and early induction of labour when medically indicated may prevent such a grave complication. The aim of this paper is to promote earlier diagnosis with massive fluid and blood replacement in order to decrease the mortality. It also forms the research bases for liver function tests in all those patients with essential hypertension or persistent toxaemia. The literature is reviewed briefly.

Adult↗